Hawaii Dental Group, INC

NPI #1356730535 in Ewa Beach, Hawaii

Provider Information

NPI Number: 1356730535
Entity Type: Organization
Organization Name: Hawaii Dental Group, INC
Subpart: Yes (part of a larger organization)
Parent Organization: HAWAII DENTAL GROUP, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 12, 2015
Last Updated: Jan 12, 2015

Practice Location

Address: 91-1121 KEAUNUI DR.
Address 2: BLDG M SPACE 6
City: Ewa Beach
State: Hawaii
ZIP Code: 96706
Phone: (808) 675-5562

Authorized Official

Name: DR. ERROL Y.W. YIM, DDS
Title: PRES/CEO
Phone: (808) 222-4059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Prosthodontics — Prosthodontics	1223P0700X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - General Practice — General Practice	1223G0001X	Primary

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